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10.1155/2021/6626150

http://scihub22266oqcxt.onion/10.1155/2021/6626150
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33815840!8010523!33815840
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suck abstract from ncbi


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pmid33815840      Crit+Care+Res+Pract 2021 ; 2021 (ä): 6626150
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  • Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach #MMPMID33815840
  • Aljehani Y; Othman SA; Almubarak Y; Elbaz A; Sabry M; Alreshaid F; Elbawab HY; Alghamdi ZM; Alshahrani M
  • Crit Care Res Pract 2021[]; 2021 (ä): 6626150 PMID33815840show ga
  • INTRODUCTION: Iatrogenic pneumothoracis, barotraumas, and tracheoesophageal fistulae, especially after prolonged intubation, and tracheal stenosis are all entities involving thoracic surgeons' consultation and management. With the surge of COVID-19 cases particularly in the critical care settings, various types of complications have been observed that require intervention from thoracic surgeons. METHODS AND MATERIALS: A retrospective study was conducted in an academic healthcare institute in the Eastern Province of Saudi Arabia. We included all COVID-19 cases admitted to ICU in the period between March 15, 2020, and August 15, 2020, requiring thoracic surgery consultation and management. Non-COVID-19 critical cases and iatrogenic pneumothorax were excluded. RESULTS: Of 122 patients who were admitted to ICU with COVID-19, 18 patients (14.75%) required thoracic surgery consultation and management. We discovered a significant association between the outcomes and reintubation rates and the rate of pneumothorax occurrence. The survival analysis showed improvement in patients who had thoracostomy tube insertion as a management than the group who were treated conservatively. On the other hand, there was a significant difference between the COVID ICU group who had thoracic complication and those who did not regarding the length of hospital stay. CONCLUSION: Noniatrogenic pneumothorax, subcutaneous emphysema, and mediastinal emphysema are well-known thoracic entities, but their presence in the context of COVID-19 disease is a harbinger for worse prognosis and outcomes. The presence of pneumothorax may be associated with better prognosis and outcome compared to surgical and mediastinal emphysema.
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